PENKHAE XOOMSAIN AYUDHYA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131257

License Status

INACTIVE

Business

First Name

PENKHAE XOOMSAIN

Last Name

AYUDHYA

Business Name

PENKHAE XOOMSAIN AYUDHYA

Original Issue Date

07/11/1969

Effective Date

07/11/1969

Expiration Date

05/31/1996

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006